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Open Inguinal Hernia Repair, First-Time

Arkansas rates for HCPCS 49505

A surgeon repairs a groin hernia, where tissue has pushed through a weak spot in the abdominal wall, using an open surgical incision rather than small laparoscopic ports. This version is for a hernia that has not been repaired before and can still be pushed back into place before surgery. Mesh may be used to reinforce the area, depending on the case.

Facilitymedian $2,818 · 10th–90th $661$5,7540%5%10%10th90th$2,818Professionalmedian $617 · 10th–90th $479$1,2300%10%20%10th90th$617$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,398.83
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,230.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$977.24
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,951.21
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$954.99